Title:
Early infant diagnosis cascade in Chiure district hospital, Mozambique: an analysis in order to improve early initiation of anti-retroviral therapy inHIV positive children.
Authors:
Dekker, JH
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2016
PAGE:
53
Language:
En
Subject:
Maternal Health – Lessons Learned
Abstract:
Background: Mozambique is still at the 7th highest place in the world of country with the highest number of new HIV infected children. Important is HIV testing for the HIV exposed infant at 4-6 weeks post-partum and to start ART in the first year of life and thus reduce the risk of mortality. Methods: A retrospective analysis of routine district health information data. Data were collected from the PCR registration book of the Chiure district hospital between April 2012 and January 2015. Beside that a literature review using the conceptual framework of McLeroy has been done to analysis the different barriers and motivators of the caregivers of using the early infant diagnosis cascade. Results: There is a loss to follow up (LTFU) of 13% for testing HIV exposed children and a LTFU of 41% for starting ART in the HIV positive children. The median total delay from collecting the sample until starting ART in HIV positive children is 120 days. Main barriers to test and start ART in HIV positive children are lack of father involvement, distance, stigma and the use of traditional healers. Conclusion: To improve the early initiation of ART in HIV positive children a holistic approach is needed; used could be a HIV infant track system and point of care testing. Beside that it is important is to empower the women with peer groups activities, a family center approach could improve the father involvement and a linkage is needed between traditional healers and the health system.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Mozambique, Republic of / The Netherlands
Region:
Southeast Africa / Europe
Training:
Master of Public Health
Category:
research
Right:
© 2016 Dekker
Document type:
Thesis/dissertation
File:
7Wwu0EbEzq_2017112016034315.pdf